Provider Demographics
NPI:1245960780
Name:BRANDA, NATALIE LASSERRE (MS, LPC)
Entity type:Individual
Prefix:
First Name:NATALIE
Middle Name:LASSERRE
Last Name:BRANDA
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1617 FOUNTAIN VIEW DR APT 90
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77057-2442
Mailing Address - Country:US
Mailing Address - Phone:713-518-9008
Mailing Address - Fax:
Practice Address - Street 1:1617 FOUNTAIN VIEW DR APT 90
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77057-2442
Practice Address - Country:US
Practice Address - Phone:713-518-9008
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-16
Last Update Date:2024-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX83438101YA0400X, 101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health